Objective:To explore the prevalence rate of knee joint osteoarthritis and its pathogenetic fea- tures among the middle-aged and old aged people in the urban and rural area of Xi'an.Methods:From May to October 2005...Objective:To explore the prevalence rate of knee joint osteoarthritis and its pathogenetic fea- tures among the middle-aged and old aged people in the urban and rural area of Xi'an.Methods:From May to October 2005,1538 Han nationality above 40 years in Xi'an were investigated according to strati- fied and cluster random sampling.The same questionnaire was delivered to subjects who had been given normotopia and lateral position radiographic examination in both knees.Excluded from etiological arthri- tis,some subjects with clinical symptoms and a radiographic grade (beyond Kellgren & Lawrence gradeⅡ) were finally diagnosed as spontaneous knee joint osteoarthritis.All analyses were performed with SPSS 13.0 and t test,U test.Single factor analysis and multiple logistic regression analysis were used to analyze dates.Results:The total prevalence of spontaneous knee joint osteoarthritis was 12.1% with 2.5% and 2.1% for right and left knees,respectively.The prevalence of knee joint osteoarthritis in wom- en was 2.5 times of that in men (17.2% vs 6.8%,P=0.000).the osteophyte prevalence in women was 2.3 times of that in men (26.5% vs 11.4%,P=0.000).The prevalence of knee joint osteoarthritis and osteophyte increased with the growth of age.So did the symptomatic knee,except for the age group of 56- 60 years and 66-70 years.The prevalence of symptomatic knee joint for urban area was significantly higher than that for rural area (56.3% vs 45.3%,P=0.003).In women,the prevalence of knee joint os- teoarthritis increased significantly with the increasing of body mass index,which had not been observed in men.Female and obesity are the risk factors for osteoarthritis,but bean and its products and meat could prevent the osteoarthritis.Conclusion:Old age,female and obesity serve as risk factors for knee joint os- teoarthritis.展开更多
Objective: to observe the practical effect of predictive nursing in the 1-3 year-old childrens immunization nursing. Methods: a total of 114 children aged 1-3 years were enrolled in the study and divided into group ①...Objective: to observe the practical effect of predictive nursing in the 1-3 year-old childrens immunization nursing. Methods: a total of 114 children aged 1-3 years were enrolled in the study and divided into group ①: Control group and group ②: Observation group. Routine nursing and predictive nursing were administered respectively. Results: the data in Table 1-5 all indicate that the data obtained from the nursing methods in the observation group are more satisfactory (P < 0.05). Conclusion: predictive nursing is helpful to improve the coordination degree and comfort level of immunization for children aged 1-3 years old, reduce the incidence of stress reaction, and improve the cognitive level and satisfaction of family members.展开更多
BACKGROUND Total hip arthroplasty(THA)is an increasingly common treatment for older patients with hip osteoarthritis.Psychological stress is common before THA,although its clinical effects on selected parameters such ...BACKGROUND Total hip arthroplasty(THA)is an increasingly common treatment for older patients with hip osteoarthritis.Psychological stress is common before THA,although its clinical effects on selected parameters such as joint function,quality of life,and postoperative complications remain unclear.AIM To investigate the effects of preoperative psychological stress on selected parameters in older patients who underwent THA.METHODS Ninety older patients who underwent THA between January 2023 and August 2024 were divided into two groups by their preoperative self-rated anxiety scale and self-rated depression scale scores,including high-stress(n=42)and lowstress(n=48).The postoperative joint function,short form-36 health survey(SF36)score,incidence of postoperative complications,and other indicators were compared between the two groups.Pearson’s correlation coefficient analysis of the relationship among preoperative psychological stress,quality of life,and postoperative complications was performed.RESULTS Postoperative joint function and quality of life were lower in the high-stress group than they were in the low-stress group(P<0.05).The incidence of postoperative complications was higher in the high-stress group(29.27%)than it was in the low-stress group(9.30%)(P<0.05).Cor-relation analysis revealed that psychological stress was correlated with the Harris hip and SF-36 scores.Total scores on the scale,including physical function,physical pain,general health,mental health,social function,vitality,and emotional function,were negatively correlated(P<0.05).CONCLUSION Preoperative psychological stress results in adverse effects on quality of life and complications in older patients undergoing THA.Therefore,pre-operative psychological interventions should be strengthened to improve postoperative outcomes.展开更多
BACKGROUND Cardiac autonomic neuropathy correlates intimately with cardiovascular complications and unexpected death.It is a typical clinical abnormality seen in coronary artery disease-affected individuals with concu...BACKGROUND Cardiac autonomic neuropathy correlates intimately with cardiovascular complications and unexpected death.It is a typical clinical abnormality seen in coronary artery disease-affected individuals with concurrent type 2 diabetes mellitus(T2DM).Moreover,blood glucose(BG)variability has been clinically shown to induce cardiovascular events and sudden death.AIM To investigate how BG variability impacts heart rate(HR)dynamics in older adults with T2DM+coronary heart disease(CHD)and to evaluate the ability of functional myocardial ischemia to predict outcomes in this cohort.METHODS We enrolled 143 older T2DM+CHD patients admitted to the First Affiliated Hospital,Hengyang Medical School,University of South China over a 3.5-year period(January 2018 to July 2021).Using a standard deviation of BG cutoff of 1.4 mmol/L,subjects were stratified into abnormal(n=75)and normal(n=68)fluctuation groups.All patients underwent 72-hour dynamic BG monitoring to detect BG fluctuation parameters.The time domain index of HR variability was measured by dynamic electrocardiogram.To determine how well glucose fluctuation measures predicted functional myocardial ischemia,the area under the receiver operating characteristic curve(AUC)was calculated.RESULTS The abnormal fluctuation group showed greater levels of mean amplitude of glycemic excursions(MAGE),mean of daily differences(MODD),largest amplitude of glycemic excursions(LAGE),and mean postprandial glucose excursions(MPPGE)relative to the normal group(P<0.05),along with lower levels of standard deviation of normal-to-normal(NN)interval(SDNN),standard deviation of the average NN interval(SDANN),standard deviation of NN intervals over every 5-minute period(SDNNindex),root mean square of successive differences(rMSSD),and percentage of NN intervals differing by>50 ms(pNN50;P<0.05).Pearson correlation analysis showed that MAGE,MODD,LAGE,and MPPGE were negatively correlated with SDNN,SDANN,SDNNindex,rMSSD,and pNN50 in older patients with T2DM complicated by CHD(P<0.05).The AUC of MAGE combined with MPPGE in predicting the occurrence of functional myocardial ischemia was 0.912,which was significantly higher than 0.694 of SDNN(P<0.05).CONCLUSION A negative correlation was found between BG variability and HR dynamics in older CHD+T2DM patients,and MAGE combined with MPPGE demonstrated better efficacy in predicting functional myocardial ischemia,which deserves clinical attention.展开更多
OBJECTIVE:Research has shown that older people and smokers have a higher death probability from coronavirus disease 2019(COVID-19).Thus,we investigated the effect of COVID-19 on death probability for individuals aged ...OBJECTIVE:Research has shown that older people and smokers have a higher death probability from coronavirus disease 2019(COVID-19).Thus,we investigated the effect of COVID-19 on death probability for individuals aged 65-70 years and smokers in India.MATERIALS AND METHODS:We did so using a differential learning(feed-backward)model.In the present study,we examined World Health Organization(WHO)declared COVID-19 data of India.We divided the patients into two groups accordingly:the population aged 65-70 years and female or male smokers.RESULTS:We observed that in the early stages of infection(up to 5 days),there was higher death probability in the older population;among smokers,it occurred in the middle period after infection(5-8 days).We estimated that the death probability among smokers was 1.905 times that of the older population.CONCLUSION:As Government of India,taking various initiatives to curb the spread of COVID-19,but these are not enough,so we suggest measures that should help to reduce COVID-19 infection in India.展开更多
The Pearl River Delta （PRD） is located in the north coast area of the South China Sea （SCS）. As one of the largest delta in China, only the two latest events among the several tens of eustatic fluctuations occurri...The Pearl River Delta （PRD） is located in the north coast area of the South China Sea （SCS）. As one of the largest delta in China, only the two latest events among the several tens of eustatic fluctuations occurring in the Quaternary were recorded in almost whole area of the PRD.展开更多
Radical prostatectomy in elderly patients is controversial. To identify very old candidates for radical prostatectomy with the highest probability of long-term survival, we studied 47 consecutive men who underwent rad...Radical prostatectomy in elderly patients is controversial. To identify very old candidates for radical prostatectomy with the highest probability of long-term survival, we studied 47 consecutive men who underwent radical prostatectomy between 1992 and 2005 at an age of 75 years or older. A heuristic approach was used to search for subgroups with particularly high long-term survival. Several two-sided comorbidity measures and combinations of these measures were investigated to find classifications best identifying healthy, long-living elderly candidates for radical prostatectomy. Four of the 25 two-sided comorbidity classifications or combinations reached the significance level with hazard ratios between 4.00 and 4.80. After 10 years, patients identified as healthy patients according to these comorbidity measurements had exhibited relative survival rates between 129% and 137% and overall survival rates between 86% and 95%, whereas those with comorbidities had exhibited relative survival rates of only 66%-84% and overall survival rates of 44%-58%. In conclusion, classifying comorbidity may identify a meaningful proportion of men selected for radical prostatectomy at an age of 75 years or older with an excellent long-term survival probability superseding that of the general population.展开更多
BACKGROUND Delirium is a common disorder in elderly medical inpatients with serious adverse outcomes and is characterized by sudden onset,disturbance in attention,awareness,consciousness and cognition,and often with b...BACKGROUND Delirium is a common disorder in elderly medical inpatients with serious adverse outcomes and is characterized by sudden onset,disturbance in attention,awareness,consciousness and cognition,and often with behavioural disturbances.Central to understanding delirium,is understanding mechanisms by which body and brain wellbeing are linked and in particular how brain responses to bodily homeostatic stress is mediated.A number of studies have investigated the relationship between insulin-like growth factor I(IGF-I)and delirium in medically ill hospitalised patients with conflicting results.However,none have investigated growth hormone(GH)which is related to IGF-I via negative feedback.AIM To investigate the relationship between serum levels of IGF-I and GH,and the occurrence of delirium.METHODS Prospective,longitudinal,observational study.Consecutive elderly inpatients(aged 70+),were assessed twice weekly with Montreal cognitive assessment(MoCA),Confusion assessment method(CAM),Acute Physiology and Chronic Health Evaluation II.Delirium was defined using CAM.Previous history of dementia was evaluated with the Informant Questionnaire on Cognitive Decline in the Elderly.IGF-I and GH levels were estimated with the ELISA method.Generalized estimating equations(GEE)model was applied for the first five assessments to analyze those longitudinal data.RESULTS The sample consisted of 198 participants(mean age 80.63±6.81;range 70-97).Of these 92(46.5%)were females.Eighty six(43.4%)were identified with a history of dementia.Incident or prevalent delirium during hospitalisation was identified with CAM in 40 participants(20.2%).Evaluation of missing values with Little's MCAR test indicated that they were missing completely at random(MCARχ2=12.24,u:9,P=0.20).Using GEE for the analysis we found that low MoCA scores,low levels of IGF-I and high levels of GH were significantly associated with any delirium(prevalence,incident,or fluctuating,during the study period(Waldχ2=12.231;u:1,P<0.001,Waldχ2=7.196,u:1,P=0.007,Waldχ2=6.210;:u:1,P=0.013 respectively).CONCLUSION The results show that low levels of IGF-I,high levels of GH and low scores in cognition are independently associated with the occurrence of any delirium during the hospitalisation of medically ill older people.The results of the study supports the hypothesis that deficits in the immunoreactivity of the brain(low cerebral reserve)may be associated with delirium.展开更多
This paper explores the image of the body in physically dependent elderly men and women and the way in which this image reconfigures their identity creating new meanings. In old age, the body becomes related with illn...This paper explores the image of the body in physically dependent elderly men and women and the way in which this image reconfigures their identity creating new meanings. In old age, the body becomes related with illness, with disablement and with its own material finiteness. Representations of the body are thus constructed around pain, deficiency, and fragility. The research was carried out from a qualitative perspective, performing in-depth interviews, with participant observation and a subject ID card as data collecting techniques. The identity of the interviewees who consented to be recorded was protected. The data were analyzed constructing concepts and theoretical and empirical categories with the support of the Etnograph V.5 software for qualitative data. The findings reflect discourses on the body that turn on its deterioration and limitations that prevent old people from functioning adequately in life. Metaphors were identified telling of a sense of＂deteriorated identity＂; most participants saw themselves as ＂a burden＂. They also showed symptoms of annoyance and shame regarding their sick or fragile bodies, as well as a constant memory of the healthy or ＂ideal＂ body of the past, which is hegemonic in our culture.展开更多
The care of the elderly is both a human basic human rights and a manifestation of social civilization. ＂Family pension＂ has always been the main pension model in China for thousands of years. However, with the trans...The care of the elderly is both a human basic human rights and a manifestation of social civilization. ＂Family pension＂ has always been the main pension model in China for thousands of years. However, with the transformation of social structure and population structure, the traditional ＂family pension＂ model is facing increasing challenges. While other emerging ＂institutions pension＂, ＂community pension＂ and failed to become a ＂family pension＂ alternative options, the role is limited. With the development of a variety of integrated technology, a new integrated technology based on the wisdom of the pension model began to emerge, wisdom pension as a new pension model has been in China with a preliminary attempt, it can maximize the elimination of the Chinese labor force The risk of population loss, the greatest extent to meet the needs of the elderly, the risk of dealing with old age, improve pension efficiency, and give the elderly equalization of power and ability, so as to fundamentally enhance the subjectivity of the elderly. But as a new exploration, but also faced with manyproblems, it is worth our in-depth thinking.展开更多
In the different stages of the development of the old-age service, the responsibility and function of the government will be different. In the new period, the government should redefine its role in advancing the socia...In the different stages of the development of the old-age service, the responsibility and function of the government will be different. In the new period, the government should redefine its role in advancing the socialization of the old-age service. The level of socialization of old-age services is not high, the lack of vitality of the pension market, the imperfect system and other problems arise because the government is not clear. The government should deal with the relationship between the main body of the market and avoid the ＇double failure＇ of the government and the market. The government should play a guiding role in the policy, laws and regulations and other aspects of good service work for the social services of the elderly to provide a good development environment.展开更多
Objective： To explore how to learn from foreign experience to promote the construction of nursing staff in China.Methods：Based on the social background and the problems faced by nursing staffin China, we selected Ge...Objective： To explore how to learn from foreign experience to promote the construction of nursing staff in China.Methods：Based on the social background and the problems faced by nursing staffin China, we selected Germany and Japan as the social environment and problems of nursing staffin China. Germany, Japan and Japan to find out how to solve the dilemma of nursing service personnel to meet the pension needs of Germany and Japan to compare whether the strategy adopted by the current development of nursing staff in China, and finally combined with the analysis of China＇s aging care workers How to draw lessons from international experience to promote the construction of nursing staff in China.Conclusion： In drawing on the experience of foreign nursing service personnel, we must first analyze the reasons for such measures, whether our country has the conditions to implement such measures is not able to solve The experience of other countries must be suitable for our country, we must combine the social environment in which our country in contrast, selectivity and targeted research.展开更多
The aim of this population study was to identify personality traits among older (>65 years) male and female owners of cats and dogs and to compare their general health status in relation to their personality. Furth...The aim of this population study was to identify personality traits among older (>65 years) male and female owners of cats and dogs and to compare their general health status in relation to their personality. Further, the aim was to examine whether current cat and dog ownership could be predicted by the owners’ personality and health. Data were collected from the North-Trøndelag Health Study (HUNT) in Norway. Included were a total of 1897 cat or dog owners between the ages of 65 years and 101 years. The results showed that there were a higher proportion of introverted male cat owners than extraverted ones. Moreover, a majority of women with cats reported that their health was not good. Furthermore, female cat owners who displayed higher scores on neurotic traits experienced significantly poorer health compared to those female cat owners that experienced good health. The same was true for female cat owners who considered themselves to be introverted. Neither personality nor health could predict pet-ownership, but it was more likely for older individuals (80-101 years) to own a cat than a dog. This study has shown that human personality is associated with cat and dog ownership, but there are other factors connected with pet ownership as well.展开更多
According to Grawe’s Consistency Theory, congruence between an individual’s aims and reality is fundamental for psychological health. We examined the real and ideal self-images of N = 440 participants in a Germanic/...According to Grawe’s Consistency Theory, congruence between an individual’s aims and reality is fundamental for psychological health. We examined the real and ideal self-images of N = 440 participants in a Germanic/Austrian cultural context as perceived in presence and as anticipated for an age of 80 years and examined their relationship to value orientations as a coping resource. From adjective ratings on the Semantic Differential for the real self-image at presence, two dimensions were extracted, one representing Warmth (W) and one representing Competence (C) in the sense of the Stereotype Content Model. Cluster analysis yielded one type of respondents with a cautiously optimistic, and one with a moderately pessimistic view of the present and the future. A third cluster devalued W and C in favor of Religiosity and Conservatism and had the highest degree of congruence between real and ideal self-images. Thus, hypotheses with regard to Religiosity and Conservatism as coping resources were confirmed.展开更多
As a traditional form of Chinese martial arts,Tai Chi attracts martial arts enthusiasts worldwide with its unique charm while also serving as an ideal fitness choice for middle-aged and elderly individuals.Its profoun...As a traditional form of Chinese martial arts,Tai Chi attracts martial arts enthusiasts worldwide with its unique charm while also serving as an ideal fitness choice for middle-aged and elderly individuals.Its profound philosophy of health preservation and remarkable fitness benefits make it particularly appealing.Tai Chi emphasizes the coordination of breathing and movement.Through slow,smooth,coherent,and gentle movements,it helps regulate the physical functions and psychological well-being of middle-aged and elderly individuals.This practice significantly enhances their overall health and effectively improves their quality of life.This paper explores the concept and characteristics of Tai Chi,examines its fitness benefits for middle-aged and elderly individuals,and proposes corresponding exercise approaches,aiming to provide practical guidance.展开更多
We all get older - it＇s a part of nature that is irreversible. But China has seen faster growth of the elderly population. China National Work-ing Commission on Ageing says that by the end of 2017, the number of peop...We all get older - it＇s a part of nature that is irreversible. But China has seen faster growth of the elderly population. China National Work-ing Commission on Ageing says that by the end of 2017, the number of people aged 60 and above reached 241 million. That＇s 17.3 percent of the total population. Even more alarming is the fact that the UN predicts this number will exceed 480 million by 2050 - with those over age 80 totaling 110 million.展开更多
MORE than 10 years ago, the song Come Home As Often As You Can to See Your Parents became popular in China, reminding young people of their obli- gation to set aside their hectic lives and return to their hometowns to...MORE than 10 years ago, the song Come Home As Often As You Can to See Your Parents became popular in China, reminding young people of their obli- gation to set aside their hectic lives and return to their hometowns to visit their aging parents. Today, the idea expressed in this song has been codified in Chinese law.展开更多
Objective:Elderly individuals are at high risk for stroke.With China transitioning into an aging society,it is essential to implement measures to prevent stroke in the middle-aged and elderly.This study aimed to inves...Objective:Elderly individuals are at high risk for stroke.With China transitioning into an aging society,it is essential to implement measures to prevent stroke in the middle-aged and elderly.This study aimed to investigate the prevalence and associated factors of stroke in middle-aged and older Chinese individuals using national survey data from the China Health and Retirement Longitudinal Study.Methods:This cross-sectional study used data from the 2015 China Health and Retirement Longitudinal Survey.Participants without complete data on stroke and its associated factors-including demographics,health behaviors,and disease-related factors-were excluded.Independent samples t-test andχ^(2) test were used to examine differences in associated factors between the stroke and non-stroke groups.Variables with P-values≤0.1 in all univariate comparisons were included in the final binary logistic regression model to identify the independent factors associated with stroke.Results:A total of 11,969 participants were included in this study.The prevalence of stroke in middle-aged and older individuals in China was 2.170%.The most significant factors associated with stroke included smoking(odds ratio(OR):1.471,95%confidence interval(CI):1.132-1.913),alcohol consumption(OR:0.548,95%CI:0.405-0.743),nap time≥30 min and<60 min(OR:0.502,95%CI:0.296-0.851),nap time≥60 min and<90 min(OR:0.703,95%CI:0.505-0.978),hypertension(OR:3.310,95%CI:2.515-4.357),dyslipidemia(OR:1.874,95%CI:1.446-2.428),and diabetes(OR:1.424,95%CI:1.052-1.927).Conclusion:This study reveals a high prevalence of stroke in middle-aged and older people in China.Several factors,including smoking,alcohol consumption,nap time,hypertension,dyslipidemia,and diabetes,were identified as significant associated factors of stroke prevalence in this population.These findings can inform the development of stroke prevention strategies and health planning for middle-aged and older adults and provide insights for future research.展开更多
BACKGROUND Gastric cancer is among the most prevalent malignancies worldwide.Despite significant advancements in chemoradiotherapy,targeted therapy,and neoadjuvant therapy,conventional surgical intervention remains th...BACKGROUND Gastric cancer is among the most prevalent malignancies worldwide.Despite significant advancements in chemoradiotherapy,targeted therapy,and neoadjuvant therapy,conventional surgical intervention remains the cornerstone of gastric cancer management.Improvements in surgical techniques,coupled with the use of staplers and other advanced instruments,have substantially reduced the incidence of complications and mortality following gastric cancer surgery.However,dysphagia remains a common postoperative complication.AIM To retrospectively investigate the potential factors contributing to dysphagia in patients who have undergone laparoscopic radical gastrectomy for gastric cancer and to explore effective strategies for its postoperative management.METHODS In this retrospective study,we analyzed data from patients who underwent elective laparoscopic total gastrectomy at Lihuili Hospital,Ningbo University,between January 2018 and May 2022.A total of 115 eligible postoperative patients were included.Postoperatively,patients completed questionnaires and were categorized into two groups based on their responses:The dysphagia group(Eating Assessment Tool-10 score≥3)and the non-dysphagia group(Eating Assessment Tool-10 score<3).Risk factors associated with dysphagia following total gastrectomy were assessed usingχ2 tests,Fisher’s exact tests,t-tests,Pearson correlation coefficients,and univariate and multivariate regression analyses.RESULTS Multivariate analysis further identified anastomotic style,prolonged intubation time,advanced age,and low albumin(ALB)levels as independent risk factors for postoperative dysphagia.Implementing targeted preventive measures for high-risk groups may significantly enhance postoperative quality of life.CONCLUSION Univariate analysis revealed that anastomotic style,low serum ALB levels,advanced age,and prolonged intubation time were significantly associated with postoperative dysphagia in gastric cancer patients.Multivariate analysis further identified anastomotic style,prolonged intubation time,advanced age,and low ALB levels as independent risk factors for postoperative dysphagia.Implementing targeted preventive measures for high-risk groups may significantly enhance postoperative quality of life.展开更多
基金Supported by the National Key Technologenetic Research Development Program during the 10th Five-year Planning(No.2004-BA702B06)
文摘Objective:To explore the prevalence rate of knee joint osteoarthritis and its pathogenetic fea- tures among the middle-aged and old aged people in the urban and rural area of Xi'an.Methods:From May to October 2005,1538 Han nationality above 40 years in Xi'an were investigated according to strati- fied and cluster random sampling.The same questionnaire was delivered to subjects who had been given normotopia and lateral position radiographic examination in both knees.Excluded from etiological arthri- tis,some subjects with clinical symptoms and a radiographic grade (beyond Kellgren & Lawrence gradeⅡ) were finally diagnosed as spontaneous knee joint osteoarthritis.All analyses were performed with SPSS 13.0 and t test,U test.Single factor analysis and multiple logistic regression analysis were used to analyze dates.Results:The total prevalence of spontaneous knee joint osteoarthritis was 12.1% with 2.5% and 2.1% for right and left knees,respectively.The prevalence of knee joint osteoarthritis in wom- en was 2.5 times of that in men (17.2% vs 6.8%,P=0.000).the osteophyte prevalence in women was 2.3 times of that in men (26.5% vs 11.4%,P=0.000).The prevalence of knee joint osteoarthritis and osteophyte increased with the growth of age.So did the symptomatic knee,except for the age group of 56- 60 years and 66-70 years.The prevalence of symptomatic knee joint for urban area was significantly higher than that for rural area (56.3% vs 45.3%,P=0.003).In women,the prevalence of knee joint os- teoarthritis increased significantly with the increasing of body mass index,which had not been observed in men.Female and obesity are the risk factors for osteoarthritis,but bean and its products and meat could prevent the osteoarthritis.Conclusion:Old age,female and obesity serve as risk factors for knee joint os- teoarthritis.
文摘Objective: to observe the practical effect of predictive nursing in the 1-3 year-old childrens immunization nursing. Methods: a total of 114 children aged 1-3 years were enrolled in the study and divided into group ①: Control group and group ②: Observation group. Routine nursing and predictive nursing were administered respectively. Results: the data in Table 1-5 all indicate that the data obtained from the nursing methods in the observation group are more satisfactory (P < 0.05). Conclusion: predictive nursing is helpful to improve the coordination degree and comfort level of immunization for children aged 1-3 years old, reduce the incidence of stress reaction, and improve the cognitive level and satisfaction of family members.
文摘BACKGROUND Total hip arthroplasty(THA)is an increasingly common treatment for older patients with hip osteoarthritis.Psychological stress is common before THA,although its clinical effects on selected parameters such as joint function,quality of life,and postoperative complications remain unclear.AIM To investigate the effects of preoperative psychological stress on selected parameters in older patients who underwent THA.METHODS Ninety older patients who underwent THA between January 2023 and August 2024 were divided into two groups by their preoperative self-rated anxiety scale and self-rated depression scale scores,including high-stress(n=42)and lowstress(n=48).The postoperative joint function,short form-36 health survey(SF36)score,incidence of postoperative complications,and other indicators were compared between the two groups.Pearson’s correlation coefficient analysis of the relationship among preoperative psychological stress,quality of life,and postoperative complications was performed.RESULTS Postoperative joint function and quality of life were lower in the high-stress group than they were in the low-stress group(P<0.05).The incidence of postoperative complications was higher in the high-stress group(29.27%)than it was in the low-stress group(9.30%)(P<0.05).Cor-relation analysis revealed that psychological stress was correlated with the Harris hip and SF-36 scores.Total scores on the scale,including physical function,physical pain,general health,mental health,social function,vitality,and emotional function,were negatively correlated(P<0.05).CONCLUSION Preoperative psychological stress results in adverse effects on quality of life and complications in older patients undergoing THA.Therefore,pre-operative psychological interventions should be strengthened to improve postoperative outcomes.
基金Supported by National Natural Science Foundation of China,No.82270939The Clinical Research 4310 Program of the First Affiliated Hospital of the University of South China,No.20214310NHYCG02。
文摘BACKGROUND Cardiac autonomic neuropathy correlates intimately with cardiovascular complications and unexpected death.It is a typical clinical abnormality seen in coronary artery disease-affected individuals with concurrent type 2 diabetes mellitus(T2DM).Moreover,blood glucose(BG)variability has been clinically shown to induce cardiovascular events and sudden death.AIM To investigate how BG variability impacts heart rate(HR)dynamics in older adults with T2DM+coronary heart disease(CHD)and to evaluate the ability of functional myocardial ischemia to predict outcomes in this cohort.METHODS We enrolled 143 older T2DM+CHD patients admitted to the First Affiliated Hospital,Hengyang Medical School,University of South China over a 3.5-year period(January 2018 to July 2021).Using a standard deviation of BG cutoff of 1.4 mmol/L,subjects were stratified into abnormal(n=75)and normal(n=68)fluctuation groups.All patients underwent 72-hour dynamic BG monitoring to detect BG fluctuation parameters.The time domain index of HR variability was measured by dynamic electrocardiogram.To determine how well glucose fluctuation measures predicted functional myocardial ischemia,the area under the receiver operating characteristic curve(AUC)was calculated.RESULTS The abnormal fluctuation group showed greater levels of mean amplitude of glycemic excursions(MAGE),mean of daily differences(MODD),largest amplitude of glycemic excursions(LAGE),and mean postprandial glucose excursions(MPPGE)relative to the normal group(P<0.05),along with lower levels of standard deviation of normal-to-normal(NN)interval(SDNN),standard deviation of the average NN interval(SDANN),standard deviation of NN intervals over every 5-minute period(SDNNindex),root mean square of successive differences(rMSSD),and percentage of NN intervals differing by>50 ms(pNN50;P<0.05).Pearson correlation analysis showed that MAGE,MODD,LAGE,and MPPGE were negatively correlated with SDNN,SDANN,SDNNindex,rMSSD,and pNN50 in older patients with T2DM complicated by CHD(P<0.05).The AUC of MAGE combined with MPPGE in predicting the occurrence of functional myocardial ischemia was 0.912,which was significantly higher than 0.694 of SDNN(P<0.05).CONCLUSION A negative correlation was found between BG variability and HR dynamics in older CHD+T2DM patients,and MAGE combined with MPPGE demonstrated better efficacy in predicting functional myocardial ischemia,which deserves clinical attention.
文摘OBJECTIVE:Research has shown that older people and smokers have a higher death probability from coronavirus disease 2019(COVID-19).Thus,we investigated the effect of COVID-19 on death probability for individuals aged 65-70 years and smokers in India.MATERIALS AND METHODS:We did so using a differential learning(feed-backward)model.In the present study,we examined World Health Organization(WHO)declared COVID-19 data of India.We divided the patients into two groups accordingly:the population aged 65-70 years and female or male smokers.RESULTS:We observed that in the early stages of infection(up to 5 days),there was higher death probability in the older population;among smokers,it occurred in the middle period after infection(5-8 days).We estimated that the death probability among smokers was 1.905 times that of the older population.CONCLUSION:As Government of India,taking various initiatives to curb the spread of COVID-19,but these are not enough,so we suggest measures that should help to reduce COVID-19 infection in India.
基金supported by the Nature Science Foundation of China(41572178)
文摘The Pearl River Delta （PRD） is located in the north coast area of the South China Sea （SCS）. As one of the largest delta in China, only the two latest events among the several tens of eustatic fluctuations occurring in the Quaternary were recorded in almost whole area of the PRD.
文摘Radical prostatectomy in elderly patients is controversial. To identify very old candidates for radical prostatectomy with the highest probability of long-term survival, we studied 47 consecutive men who underwent radical prostatectomy between 1992 and 2005 at an age of 75 years or older. A heuristic approach was used to search for subgroups with particularly high long-term survival. Several two-sided comorbidity measures and combinations of these measures were investigated to find classifications best identifying healthy, long-living elderly candidates for radical prostatectomy. Four of the 25 two-sided comorbidity classifications or combinations reached the significance level with hazard ratios between 4.00 and 4.80. After 10 years, patients identified as healthy patients according to these comorbidity measurements had exhibited relative survival rates between 129% and 137% and overall survival rates between 86% and 95%, whereas those with comorbidities had exhibited relative survival rates of only 66%-84% and overall survival rates of 44%-58%. In conclusion, classifying comorbidity may identify a meaningful proportion of men selected for radical prostatectomy at an age of 75 years or older with an excellent long-term survival probability superseding that of the general population.
文摘BACKGROUND Delirium is a common disorder in elderly medical inpatients with serious adverse outcomes and is characterized by sudden onset,disturbance in attention,awareness,consciousness and cognition,and often with behavioural disturbances.Central to understanding delirium,is understanding mechanisms by which body and brain wellbeing are linked and in particular how brain responses to bodily homeostatic stress is mediated.A number of studies have investigated the relationship between insulin-like growth factor I(IGF-I)and delirium in medically ill hospitalised patients with conflicting results.However,none have investigated growth hormone(GH)which is related to IGF-I via negative feedback.AIM To investigate the relationship between serum levels of IGF-I and GH,and the occurrence of delirium.METHODS Prospective,longitudinal,observational study.Consecutive elderly inpatients(aged 70+),were assessed twice weekly with Montreal cognitive assessment(MoCA),Confusion assessment method(CAM),Acute Physiology and Chronic Health Evaluation II.Delirium was defined using CAM.Previous history of dementia was evaluated with the Informant Questionnaire on Cognitive Decline in the Elderly.IGF-I and GH levels were estimated with the ELISA method.Generalized estimating equations(GEE)model was applied for the first five assessments to analyze those longitudinal data.RESULTS The sample consisted of 198 participants(mean age 80.63±6.81;range 70-97).Of these 92(46.5%)were females.Eighty six(43.4%)were identified with a history of dementia.Incident or prevalent delirium during hospitalisation was identified with CAM in 40 participants(20.2%).Evaluation of missing values with Little's MCAR test indicated that they were missing completely at random(MCARχ2=12.24,u:9,P=0.20).Using GEE for the analysis we found that low MoCA scores,low levels of IGF-I and high levels of GH were significantly associated with any delirium(prevalence,incident,or fluctuating,during the study period(Waldχ2=12.231;u:1,P<0.001,Waldχ2=7.196,u:1,P=0.007,Waldχ2=6.210;:u:1,P=0.013 respectively).CONCLUSION The results show that low levels of IGF-I,high levels of GH and low scores in cognition are independently associated with the occurrence of any delirium during the hospitalisation of medically ill older people.The results of the study supports the hypothesis that deficits in the immunoreactivity of the brain(low cerebral reserve)may be associated with delirium.
文摘This paper explores the image of the body in physically dependent elderly men and women and the way in which this image reconfigures their identity creating new meanings. In old age, the body becomes related with illness, with disablement and with its own material finiteness. Representations of the body are thus constructed around pain, deficiency, and fragility. The research was carried out from a qualitative perspective, performing in-depth interviews, with participant observation and a subject ID card as data collecting techniques. The identity of the interviewees who consented to be recorded was protected. The data were analyzed constructing concepts and theoretical and empirical categories with the support of the Etnograph V.5 software for qualitative data. The findings reflect discourses on the body that turn on its deterioration and limitations that prevent old people from functioning adequately in life. Metaphors were identified telling of a sense of＂deteriorated identity＂; most participants saw themselves as ＂a burden＂. They also showed symptoms of annoyance and shame regarding their sick or fragile bodies, as well as a constant memory of the healthy or ＂ideal＂ body of the past, which is hegemonic in our culture.
文摘The care of the elderly is both a human basic human rights and a manifestation of social civilization. ＂Family pension＂ has always been the main pension model in China for thousands of years. However, with the transformation of social structure and population structure, the traditional ＂family pension＂ model is facing increasing challenges. While other emerging ＂institutions pension＂, ＂community pension＂ and failed to become a ＂family pension＂ alternative options, the role is limited. With the development of a variety of integrated technology, a new integrated technology based on the wisdom of the pension model began to emerge, wisdom pension as a new pension model has been in China with a preliminary attempt, it can maximize the elimination of the Chinese labor force The risk of population loss, the greatest extent to meet the needs of the elderly, the risk of dealing with old age, improve pension efficiency, and give the elderly equalization of power and ability, so as to fundamentally enhance the subjectivity of the elderly. But as a new exploration, but also faced with manyproblems, it is worth our in-depth thinking.
文摘In the different stages of the development of the old-age service, the responsibility and function of the government will be different. In the new period, the government should redefine its role in advancing the socialization of the old-age service. The level of socialization of old-age services is not high, the lack of vitality of the pension market, the imperfect system and other problems arise because the government is not clear. The government should deal with the relationship between the main body of the market and avoid the ＇double failure＇ of the government and the market. The government should play a guiding role in the policy, laws and regulations and other aspects of good service work for the social services of the elderly to provide a good development environment.
文摘Objective： To explore how to learn from foreign experience to promote the construction of nursing staff in China.Methods：Based on the social background and the problems faced by nursing staffin China, we selected Germany and Japan as the social environment and problems of nursing staffin China. Germany, Japan and Japan to find out how to solve the dilemma of nursing service personnel to meet the pension needs of Germany and Japan to compare whether the strategy adopted by the current development of nursing staff in China, and finally combined with the analysis of China＇s aging care workers How to draw lessons from international experience to promote the construction of nursing staff in China.Conclusion： In drawing on the experience of foreign nursing service personnel, we must first analyze the reasons for such measures, whether our country has the conditions to implement such measures is not able to solve The experience of other countries must be suitable for our country, we must combine the social environment in which our country in contrast, selectivity and targeted research.
文摘The aim of this population study was to identify personality traits among older (>65 years) male and female owners of cats and dogs and to compare their general health status in relation to their personality. Further, the aim was to examine whether current cat and dog ownership could be predicted by the owners’ personality and health. Data were collected from the North-Trøndelag Health Study (HUNT) in Norway. Included were a total of 1897 cat or dog owners between the ages of 65 years and 101 years. The results showed that there were a higher proportion of introverted male cat owners than extraverted ones. Moreover, a majority of women with cats reported that their health was not good. Furthermore, female cat owners who displayed higher scores on neurotic traits experienced significantly poorer health compared to those female cat owners that experienced good health. The same was true for female cat owners who considered themselves to be introverted. Neither personality nor health could predict pet-ownership, but it was more likely for older individuals (80-101 years) to own a cat than a dog. This study has shown that human personality is associated with cat and dog ownership, but there are other factors connected with pet ownership as well.
文摘According to Grawe’s Consistency Theory, congruence between an individual’s aims and reality is fundamental for psychological health. We examined the real and ideal self-images of N = 440 participants in a Germanic/Austrian cultural context as perceived in presence and as anticipated for an age of 80 years and examined their relationship to value orientations as a coping resource. From adjective ratings on the Semantic Differential for the real self-image at presence, two dimensions were extracted, one representing Warmth (W) and one representing Competence (C) in the sense of the Stereotype Content Model. Cluster analysis yielded one type of respondents with a cautiously optimistic, and one with a moderately pessimistic view of the present and the future. A third cluster devalued W and C in favor of Religiosity and Conservatism and had the highest degree of congruence between real and ideal self-images. Thus, hypotheses with regard to Religiosity and Conservatism as coping resources were confirmed.
文摘As a traditional form of Chinese martial arts,Tai Chi attracts martial arts enthusiasts worldwide with its unique charm while also serving as an ideal fitness choice for middle-aged and elderly individuals.Its profound philosophy of health preservation and remarkable fitness benefits make it particularly appealing.Tai Chi emphasizes the coordination of breathing and movement.Through slow,smooth,coherent,and gentle movements,it helps regulate the physical functions and psychological well-being of middle-aged and elderly individuals.This practice significantly enhances their overall health and effectively improves their quality of life.This paper explores the concept and characteristics of Tai Chi,examines its fitness benefits for middle-aged and elderly individuals,and proposes corresponding exercise approaches,aiming to provide practical guidance.
文摘We all get older - it＇s a part of nature that is irreversible. But China has seen faster growth of the elderly population. China National Work-ing Commission on Ageing says that by the end of 2017, the number of people aged 60 and above reached 241 million. That＇s 17.3 percent of the total population. Even more alarming is the fact that the UN predicts this number will exceed 480 million by 2050 - with those over age 80 totaling 110 million.
文摘MORE than 10 years ago, the song Come Home As Often As You Can to See Your Parents became popular in China, reminding young people of their obli- gation to set aside their hectic lives and return to their hometowns to visit their aging parents. Today, the idea expressed in this song has been codified in Chinese law.
基金supported by the Zigong Institute of Brain Sciences in Sichuan Province,China(2022ZCNKY24)the Social Science Research Program in Sichuan Province 2024(SCJJ24ND290).
文摘Objective:Elderly individuals are at high risk for stroke.With China transitioning into an aging society,it is essential to implement measures to prevent stroke in the middle-aged and elderly.This study aimed to investigate the prevalence and associated factors of stroke in middle-aged and older Chinese individuals using national survey data from the China Health and Retirement Longitudinal Study.Methods:This cross-sectional study used data from the 2015 China Health and Retirement Longitudinal Survey.Participants without complete data on stroke and its associated factors-including demographics,health behaviors,and disease-related factors-were excluded.Independent samples t-test andχ^(2) test were used to examine differences in associated factors between the stroke and non-stroke groups.Variables with P-values≤0.1 in all univariate comparisons were included in the final binary logistic regression model to identify the independent factors associated with stroke.Results:A total of 11,969 participants were included in this study.The prevalence of stroke in middle-aged and older individuals in China was 2.170%.The most significant factors associated with stroke included smoking(odds ratio(OR):1.471,95%confidence interval(CI):1.132-1.913),alcohol consumption(OR:0.548,95%CI:0.405-0.743),nap time≥30 min and<60 min(OR:0.502,95%CI:0.296-0.851),nap time≥60 min and<90 min(OR:0.703,95%CI:0.505-0.978),hypertension(OR:3.310,95%CI:2.515-4.357),dyslipidemia(OR:1.874,95%CI:1.446-2.428),and diabetes(OR:1.424,95%CI:1.052-1.927).Conclusion:This study reveals a high prevalence of stroke in middle-aged and older people in China.Several factors,including smoking,alcohol consumption,nap time,hypertension,dyslipidemia,and diabetes,were identified as significant associated factors of stroke prevalence in this population.These findings can inform the development of stroke prevention strategies and health planning for middle-aged and older adults and provide insights for future research.
文摘BACKGROUND Gastric cancer is among the most prevalent malignancies worldwide.Despite significant advancements in chemoradiotherapy,targeted therapy,and neoadjuvant therapy,conventional surgical intervention remains the cornerstone of gastric cancer management.Improvements in surgical techniques,coupled with the use of staplers and other advanced instruments,have substantially reduced the incidence of complications and mortality following gastric cancer surgery.However,dysphagia remains a common postoperative complication.AIM To retrospectively investigate the potential factors contributing to dysphagia in patients who have undergone laparoscopic radical gastrectomy for gastric cancer and to explore effective strategies for its postoperative management.METHODS In this retrospective study,we analyzed data from patients who underwent elective laparoscopic total gastrectomy at Lihuili Hospital,Ningbo University,between January 2018 and May 2022.A total of 115 eligible postoperative patients were included.Postoperatively,patients completed questionnaires and were categorized into two groups based on their responses:The dysphagia group(Eating Assessment Tool-10 score≥3)and the non-dysphagia group(Eating Assessment Tool-10 score<3).Risk factors associated with dysphagia following total gastrectomy were assessed usingχ2 tests,Fisher’s exact tests,t-tests,Pearson correlation coefficients,and univariate and multivariate regression analyses.RESULTS Multivariate analysis further identified anastomotic style,prolonged intubation time,advanced age,and low albumin(ALB)levels as independent risk factors for postoperative dysphagia.Implementing targeted preventive measures for high-risk groups may significantly enhance postoperative quality of life.CONCLUSION Univariate analysis revealed that anastomotic style,low serum ALB levels,advanced age,and prolonged intubation time were significantly associated with postoperative dysphagia in gastric cancer patients.Multivariate analysis further identified anastomotic style,prolonged intubation time,advanced age,and low ALB levels as independent risk factors for postoperative dysphagia.Implementing targeted preventive measures for high-risk groups may significantly enhance postoperative quality of life.
